Provider Demographics
NPI:1437244191
Name:OCCUPATIONAL HEALTH CENTER OF THE GARDENS
Entity Type:Organization
Organization Name:OCCUPATIONAL HEALTH CENTER OF THE GARDENS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:L
Authorized Official - Last Name:MARKS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:561-694-9675
Mailing Address - Street 1:3345 BURNS ROAD
Mailing Address - Street 2:STE 102
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4304
Mailing Address - Country:US
Mailing Address - Phone:561-694-9675
Mailing Address - Fax:561-694-9264
Practice Address - Street 1:3345 BURNS ROAD
Practice Address - Street 2:STE 102
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4304
Practice Address - Country:US
Practice Address - Phone:561-694-9675
Practice Address - Fax:561-694-9264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine